Académique Documents
Professionnel Documents
Culture Documents
NORMAL LABOUR
(EUTOCIA)
LABOUR is called normal if
it fulfills the following
criteria.
1. Spontaneous in onset.
2. With vertex presentation .
EXPULSIVE PHASE: It is
distinguished by maternal
bearing down efforts and
ends with delivery of the
baby. Its average duration is
2 hours in primigravidae
and 30 minutes in
multiparae.
MANAGEMENT OF
THE FIRST STAGE
PRELIMINARIES
This consists of basic
evaluation of the current
clinical condition.Enquiry
is to be made about the
onset of labour pains or
leakage of liquor,if any.
Available,are to be reviewed.
ACTUAL MANAGEMENT GENERAL CARE:a) Antiseptic
dressing.
b) Encouragement and
assurance are given to keep
up
The morale.
c)Constant supervision is
ensured.
d) Bowel care.
e) Rest and ambulation.
f)Diet.
g)Bladder care.
h)Assessment of progress of
labour
and partograph recording.
i)Fetal heart rate monitoring.
j)Vaginal examination.
k)Routine check up.